Individual
LARRY PAUL DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 PROGRESS DR, MOUNT VERNON, KY 40456-8590
(606) 256-2143
Mailing address
401 HIGHLAND PARK DR, RICHMOND, KY 40475-3839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256466
KY
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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